The 5-year holding period for Roth IRAs starts on the earlier of the date you: 1  First contributed directly to the Roth IRA.  Rolled over a Roth 401(k) or Roth 403(b) to the Roth IRA.
The Neurologist is a specialist who will probably charge around $100 to $200 for an office visit. Any tests they order like a CAT scan would be extra - a few hundred more. If you live near a medical school or state funded hospital it can be cheaper to go to one of their outpatient clinics.
All i know is that it's $100 for a consultation w/ UCD but they're booked until January compared to $110 with a neurologist i'm seeing in a couple of days. I was a bit shocked to learn that the surgery would cost that much and i just needed some reassurance that i'm not being ripped off.